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Rigid Esophagus Scope With Balloon Widening

Washington rates for HCPCS 43195

A rigid, non-bending scope is passed through the mouth into the esophagus, and a balloon is inflated inside a narrowed section to stretch it open. Widening the passage makes swallowing easier when scarring or a tight ring has narrowed the food pipe. General anesthesia is normally used because of the rigid scope.

Facilitymedian $468 · 10th–90th $234$13,8040%5%10th90th$468$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$6,025.60
Typical High
$18,620.87
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$10,232.93
Typical High
$20,892.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$870.96
Typical High
$5,370.32
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$371.54
Typical High
$4,365.16
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$363.08
Typical High
$363.08
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$251.19
Typical High
$2,454.71
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$10,715.19
Typical High
$20,892.96
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$10,964.78
Typical High
$21,379.62